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Short-term acute care hospital · Ahoskie, North Carolina · 50 beds · CMS certification number 340099

ECU Health Roanoke Chowan Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 4, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$87.6M
$87,613,793 · G-3 line 3
Operating expenses
$96.1M
$96,117,351 · G-3 line 4
Result from patient care
−$8.5M
−$8,503,558 · G-3 line 5
Margin on patient care
−9.7%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $29.1M in its first year on file (1996) to $87.6M in 2025.
  • Its result from patient care: −$9.0M (2023), −$4.8M (2024), −$8.5M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 2.3% of its inpatient days and Medicare for 27.9%.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
reopened
$29.1M
$27.4M
1997
reopened
$18.9M
$19.7M
1998
reopened
$28.3M
$31.1M
1999
settled
$33.5M
$34.3M
2000
reopened
$37.9M
$37.8M
2001
reopened
$76.3M
$42.1M
2002
settled
$41.2M
$42.0M
2003
reopened
$43.2M
$44.4M
2004
reopened
$50.0M
$50.1M
2005
reopened
$52.6M
$52.9M
2006
reopened
$60.7M
$60.1M
2007
settled
$64.6M
$64.2M
2008
reopened
$69.3M
$58.1M
2009
reopened
$69.8M
$58.9M
2010
reopened
$66.2M
$52.7M
2011
reopened
$69.0M
$63.5M
2012
reopened
$68.6M
$68.1M
2013
reopened
$62.5M
$69.9M
2014
settled
$71.1M
$76.0M
2015
settled
$71.1M
$72.2M
2016
settled
$72.0M
$74.3M
2017
settled
$79.6M
$82.5M
2018
reopened
$81.0M
$83.3M
2019
settled
$85.0M
$88.8M
2020
settled
$85.8M
$88.0M
2021
settled
$92.1M
$92.7M
2022
settled
$88.5M
$99.3M
2023
settled
$84.1M
$93.1M
2024
settled
$97.5M
$102.2M
2025
as submitted
$87.6M
$96.1M

Beside its peers

Short-term acute care hospitals in North Carolina with 50 to 99 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
ECU Health Roanoke Chowan Hospital50$87,613,793$96,117,351−9.7%
Novant Health Brunswick Medical Center, Bolivia72$190,905,858$154,686,75919.0%
Lexington Medical Center, Lexington70$147,209,029$133,881,7929.0%
Sampson Regional Medical Center, Clinton67$82,225,043$84,439,515−2.7%
Novant Health Thomasville Medical Center, Thomasville73$393,385,009$579,547,042−47.3%
Wilkes Regional Medical Center, North Wilkesboro77$129,642,232$137,280,969−5.9%

Patients and payers

Discharges
2,677
S-3 line 14, col 15
Inpatient days
13,542
S-3 line 14, col 8
Beds in use, on an average day
37.2
days ÷ days in year
Occupancy
74.2%
days ÷ bed days
Medicare share of days
27.9%
S-3 cols 6 ÷ 8
Medicaid share of days
2.3%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: ADMIN & GENERAL, hospital system.

Type of control on its cost report: voluntary nonprofit, other.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 340099. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 4, 2026.